Remote Insurance Reimbursement Specialist

Job Summary

Processing and verifying reimbursement claims, the full-time Remote Insurance Reimbursement Specialist will ensure accuracy and compliance with payer guidelines while collaborating with internal teams to support revenue integrity and workflow efficiency.

Key responsibilities

• Processes and verifies reimbursement claims to ensure compliance with payer guidelines and regulatory requirements
• Reviews and resolves claim discrepancies, taking appropriate actions for incorrect payments, denials, or underpayments
• Monitors outstanding claims and collaborates with revenue cycle teams to investigate denials and appeal decisions

Required qualifications

• H.S. Diploma or GED required
• Associate Degree or coursework in Accounting, Finance, Healthcare Administration, or related field preferred
• 0-1 years of experience in medical billing, reimbursement, claims processing, or accounts receivable required
• Experience with payer reimbursement policies and healthcare revenue cycle operations preferred